Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Mar 4;15(3):e35759.
doi: 10.7759/cureus.35759. eCollection 2023 Mar.

Wireless High-Frequency Peripheral Nerve Stimulation for Chronic Refractory Knee Pain Post-total Knee Replacement

Gaurav Chauhan  1 , Suresh K Srinivasan  2 , Suchit Khanduja  3
Affiliations
Case Reports

Wireless High-Frequency Peripheral Nerve Stimulation for Chronic Refractory Knee Pain Post-total Knee Replacement

Gaurav Chauhan et al. Cureus. .

Abstract

The number of joint replacement surgeries, especially knee replacement surgeries, is rising with the rising geriatric population. Chronic unremitting knee pain post-total knee replacement surgery is a common phenomenon. Usually, the pain responds to conservative measures, including physical therapy and medical management. In some patients, the pain post-knee replacement surgery can be refractory and unremitting. In such scenarios, peripheral nerve stimulation, or neuromodulation, can be an effective option.

Keywords: chronic pain; chronic post-surgical pain; peripheral nerve stimulation; total knee replacement; wireless implantable device.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Anteroposterior fluoroscopic image of the right knee with Stimwave peripheral nerve stimulator leads
Yellow arrow: superomedial trial lead for stimulation of superomedial genicular nerves Blue arrow: inferomedial trial lead for stimulation of inferomedial genicular nerves
Figure 2
Figure 2. Anteroposterior fluoroscopic image of permanently implanted superomedial stimwave lead
Green arrow: quadripolar lead for stimulation of superomedial genicular nerves Yellow arrow: lead is looped and secured in a superficial tissue pocket
Figure 3
Figure 3. ChatGPT snapshot of the author
See this image and copyright information in PMC

References

    1. Highlights of the 2021 American Joint Replacement Registry annual report. Siddiqi A, Levine BR, Springer BD. Arthroplast Today. 2022;13:205–207. - PMC - PubMed
    1. Chronic pain after total knee arthroplasty. Wylde V, Beswick A, Bruce J, Blom A, Howells N, Gooberman-Hill R. EFORT Open Rev. 2018;3:461–470. - PMC - PubMed
    1. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. Beswick AD, Wylde V, Gooberman-Hill R, Blom A, Dieppe P. BMJ Open. 2012;2:0. - PMC - PubMed
    1. The natural history of pain and neuropathic pain after knee replacement: a prospective cohort study of the point prevalence of pain and neuropathic pain to a minimum three-year follow-up. Phillips JR, Hopwood B, Arthur C, Stroud R, Toms AD. Bone Joint J. 2014;96-B:1227–1233. - PubMed
    1. Using hierarchical linear modeling to explore predictors of pain after total hip and knee arthroplasty as a consequence of osteoarthritis. Halket A, Stratford PW, Kennedy DM, Woodhouse LJ. J Arthroplasty. 2010;25:254–262. - PubMed

Publication types

LinkOut - more resources